2008: Began seeing patients in a clinic in Sanfebagar, Achham.

2009: First Memorandum of Understanding (MoU) for management of Bayalpata Hospital, Achham.

2013: First Performance Based Grant Agreement based on population health indicators.

2015: Nepal’s federal constitution promulgated ownership and regulation in healthcare to local governments.

2016: Second MoU for management of Charikot Hospital, Dolakha, one of the epicenter of 2015 earthquakes.

2017:Community Healthcare Program approved to be implemented as a national pilot — focus on Reproductive, Maternal, Neonatal and Child Health.

2017: NepalEHR implemented in Trishuli Hospital, Nuwakot — the first outside NHN-managed hospitals.

2017: Community Healthcare Program increased Institutional Birth Rate from 76% to 96% in our catchment area in Achham, surpassing Sustainable Development Goal (2030) -90% and Nepal Health Sector Strategy (2020) 70%.

2017: Community Healthcare Program brought down  neonatal mortality rate from 14 to 6 per 1000 live births in our catchment area in Achham, surpassing Sustainable Development Goal (2030)- 12  and Nepal Health Sector Strategy (2020) – 18.

2018: Third MoU for management of Chaurmandu Primary Health Center leveraging financing around  social health insurance and local funding as sources of sustainability.

2018: Integrated OpenMRS and DHIS2 into NepalEHR — the first of its kind globally.